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NPI Code Detail

MEDICARE: INNER HEALING CENTER

MEDICARE: INNER HEALING CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1861118689
Entity Type Code : Organization
Provider Name (Legal Business Name) : INNER HEALING CENTER
Provider Business Mailing Address
First Line : 1703 CIVIC CENTER DR STE 5
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7273
Country : US
Telephone Number : 702-874-4448
Fax Number : 702-848-2809
Provider Business Practice Location Address
First Line : 1703 CIVIC CENTER DR STE 5
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7273
Country : US
Telephone Number : 702-874-4448
Fax Number : 702-848-2809
Authorized Official
Title or Position : OFFICE MANAGER
Name : MICHELLE WYATT
Credential :
Telephone Number : 702-929-1142
Provider Enumeration Date : 10/13/2022
Last Update Date : 10/13/2022

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Directions to “INNER HEALING CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.